Behavioral addiction
Encyclopedia
Behavioral addiction
Addiction
Historically, addiction has been defined as physical and psychological dependence on psychoactive substances which cross the blood-brain barrier once ingested, temporarily altering the chemical milieu of the brain.Addiction can also be viewed as a continued involvement with a substance or activity...

is a form of addiction which does not rely on drug
Drug
A drug, broadly speaking, is any substance that, when absorbed into the body of a living organism, alters normal bodily function. There is no single, precise definition, as there are different meanings in drug control law, government regulations, medicine, and colloquial usage.In pharmacology, a...

s or alcohol
Alcohol
In chemistry, an alcohol is an organic compound in which the hydroxy functional group is bound to a carbon atom. In particular, this carbon center should be saturated, having single bonds to three other atoms....

. Increasingly referred to as process addiction or non-substance-related addiction ) behavioral addiction includes a compulsion
Compulsive behavior
Compulsive behavior is behavior which a person does compulsively—in other words, not because they want to behave that way, but because they feel they have to do so....

 to repeatedly engage in an action until said action causes serious negative consequences to the person's physical, mental, social, and/or financial well-being. One sign that a behavior has become addictive is if it persists despite these consequences.

The type of behaviors which some people have identified as being addictive include gambling, food
Overeating
Overeating generally refers to the long-term consumption of excess food in relation to the energy that an organism expends , leading to weight gainingand often obesity. It may be regarded as an eating disorder....

, sex
Sexual addiction
Sexual addiction is a popular model to explain hypersexuality—sexual urges, behaviors, or thoughts that appear extreme in frequency or feel out of one's control...

, viewing of pornography
Pornography addiction
Pornography addiction, or more broadly overuse of pornography, is excessive pornography use that interferes with daily life.There is no diagnosis of pornography addiction in the current Diagnostic and Statistical Manual of Mental Disorders , and as with the broader proposed diagnosis of sexual...

, use of computers
Computer addiction
Computer addiction is a loosely used term for the excessive use of computers to the extent that it interferes with daily life. Excessive use may explain problems in social interaction, mood, personality, work ethic, relationships, thought processes, or sleep deprivation.The Diagnostic and...

, playing video games, use of the internet
Internet addiction disorder
Internet addiction disorder , or, more broadly, Internet overuse, problematic computer use or pathological computer use, is excessive computer use that interferes with daily life...

, work
Workaholic
A workaholic is a person who is addicted to work.The term generally implies that the person enjoys their work; it can also imply that they simply feel compelled to do it...

, exercise, spiritual obsession (as opposed to religious devotion), pain , cutting
Self-harm
Self-harm or deliberate self-harm includes self-injury and self-poisoning and is defined as the intentional, direct injuring of body tissue most often done without suicidal intentions. These terms are used in the more recent literature in an attempt to reach a more neutral terminology...

 and shopping
Compulsive buying disorder
Compulsive buying disorder is characterized by an obsession with shopping and buying behavior that causes adverse consequences. Most persons with CBD meet the criteria for an axis II disorder....

.

When analyzing the addiction to food for example, a published study in 2009 from The Scripps Research Institute have shown for the first time that the same molecular mechanisms that drive people into drug addiction are behind the compulsion to overeat, pushing people into obesity. In this study, scientists focused on a particular receptor in the brain known to play an important role in vulnerability to drug addiction -- the dopamine D2 receptor. The D2 receptor responds to dopamine, a neurotransmitter that is released in the brain by pleasurable experiences like food or sex or drugs like cocaine .

Behavioral addictions has been proposed as a new class in DSM-5
DSM-5
The next edition of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders , commonly called DSM-5 , is currently in consultation, planning and preparation...

, but the only category included is gambling addiction. Internet addiction and sex addiction are included in the appendix.

The term soft addiction was coined by Judith Sewell Wright
Judith Sewell Wright
Judith Wright is an American author, public speaker, educator, researcher, and program developer, known for coining the term "soft addictions", which has garnered national attention as seen on , Good Morning America , , The CBS Early Show , The Chicago Tribune, and numerous other print and...

 to describe activities, moods
Mood (psychology)
A mood is a relatively long lasting emotional state. Moods differ from emotions in that they are less specific, less intense, and less likely to be triggered by a particular stimulus or event....

 or ways of being, avoidances, and things-edible and consumable but which do not pose a grave health disease risk - rather, they have the most effect on personal time and productivity
Productivity
Productivity is a measure of the efficiency of production. Productivity is a ratio of what is produced to what is required to produce it. Usually this ratio is in the form of an average, expressing the total output divided by the total input...

. These behaviors were profiled in a 2007 ABC News
ABC News
ABC News is the news gathering and broadcasting division of American broadcast television network ABC, a subsidiary of The Walt Disney Company...

 story titled Bad Habits.

DSM / "Impulse control disorder"

There is disagreement as to the exact nature of behavioral addiction or dependency. However, the biopsychosocial model is generally accepted in scientific fields as the most comprehensive model for addiction. Historically, addiction has been defined with regard solely to psychoactive substances (for example alcohol
Alcoholism
Alcoholism is a broad term for problems with alcohol, and is generally used to mean compulsive and uncontrolled consumption of alcoholic beverages, usually to the detriment of the drinker's health, personal relationships, and social standing...

, tobacco
Tobacco smoking
Tobacco smoking is the practice where tobacco is burned and the resulting smoke is inhaled. The practice may have begun as early as 5000–3000 BCE. Tobacco was introduced to Eurasia in the late 16th century where it followed common trade routes...

 and other drugs) which cross the blood-brain barrier
Blood-brain barrier
The blood–brain barrier is a separation of circulating blood and the brain extracellular fluid in the central nervous system . It occurs along all capillaries and consists of tight junctions around the capillaries that do not exist in normal circulation. Endothelial cells restrict the diffusion...

 once ingested, temporarily altering the chemical milieu of the brain. However, "studies on phenomenology, family history, and response to treatment suggest that intermittent explosive disorder
Intermittent explosive disorder
Intermittent explosive disorder is a behavioral disorder characterized by extreme expressions of anger, often to the point of violence, that are disproportionate to the situation at hand. It is currently categorized in the Diagnostic and Statistical Manual of Mental Disorders as an impulse...

, kleptomania
Kleptomania
Kleptomania is an irresistible urge to steal items of trivial value. People with this disorder are compelled to steal things, generally, but not limited to, objects of little or no significant value, such as pens, paper clips, paper and tape...

, problem gambling, pyromania
Pyromania
Pyromania in more extreme circumstances can be an impulse control disorder to deliberately start fires to relieve tension or for gratification or relief. The term pyromania comes from the Greek word πῦρ . Pyromania and pyromaniacs are distinct from arson, the pursuit of personal, monetary or...

, and trichotillomania
Trichotillomania
Trichotillomania, which is classified as an impulse control disorder by DSM-IV, is the compulsive urge to pull out one's own hair leading to noticeable hair loss, distress, and social or functional impairment. It is often chronic and difficult to treat....

 may be related to mood disorders, alcohol and psychoactive substance abuse
Substance abuse
A substance-related disorder is an umbrella term used to describe several different conditions associated with several different substances .A substance related disorder is a condition in which an individual uses or abuses a...

, and anxiety disorders (especially obsessive–compulsive disorder)."

In the case of pathological gambling, for example, the American Psychological Association
American Psychological Association
The American Psychological Association is the largest scientific and professional organization of psychologists in the United States. It is the world's largest association of psychologists with around 154,000 members including scientists, educators, clinicians, consultants and students. The APA...

 classifies the condition as an impulse control disorder
Impulse control disorder
Impulse control disorder is a set of psychiatric disorders including intermittent explosive disorder, kleptomania, pathological gambling, pyromania , and three body-focused repetitive or compulsive behaviors of trichotillomania , onychophagia and dermatillomania...

 and not an addiction.

Dopamine on Behaviors

There are many similarities in the neurobiology of behavior and drug addictions. One of the most important discoveries of addictions has been the drug based reinforcement and, even more important, reward based learning processes. Several structures of the brain are important in the conditioning process of behavior addiction. One of the major areas of study includes the region, called the amygdala
Amygdala
The ' are almond-shaped groups of nuclei located deep within the medial temporal lobes of the brain in complex vertebrates, including humans. Shown in research to perform a primary role in the processing and memory of emotional reactions, the amygdalae are considered part of the limbic system.-...

, which involves emotional significance and associated learning. Research shows that dopaminergic projections to the amygdala facilitate a motivational or learned association to a specific behavior. The cycle that is created is considered the dopamine reward system.

Dopamine neurons take a role in the learning and sustaining of many of the behaviors we acquire. Research specific to Parkinson’s disease has led to identifying the intracellular signaling pathways that underlie the immediate actions of dopamine. The most common mechanism of dopamine is to create addictive properties along with certain behaviors. There are three stages to the dopamine reward system: bursts of dopamine, triggering of behavior, and further impact to the behavior. Once electronically signaled, possibly through the behavior, dopamine neurons let out a ‘burst-fire’ of elements to stimulate areas along fast transmitting pathways. The behavior response then perpetuates the striated neurons to further send stimuli. The fast firing of dopamine neurons can be monitored over time by evaluation the amount of extracellular concentrations of dopamine through micro dialysis and brain imaging. This monitoring can lead to a model in which one can see the multiplicity of triggering over a period of time. Once the behavior is triggered, it is hard to work away from the dopamine reward system.

Behaviors like gambling have been linked to the new found idea of the brain’s capacity to predict rewards. The reward system can be triggered by early detectors of the behavior, and trigger dopamine neurons to begin stimulating behaviors. But in some cases, it can lead to many issues due to error, or reward-prediction errors. These errors can act as teaching signals to create a complex behavior task over time.

Research

It is estimated that at least 90% of Americans have at least one form of soft addiction in their lives. Nadine Kaslow, PhD, professor of psychology and behavioral sciences at Emory University
Emory University
Emory University is a private research university in metropolitan Atlanta, located in the Druid Hills section of unincorporated DeKalb County, Georgia, United States. The university was founded as Emory College in 1836 in Oxford, Georgia by a small group of Methodists and was named in honor of...

 in Atlanta, has commented on the issue, saying that while it is healthy to relieve stress
Stress (biology)
Stress is a term in psychology and biology, borrowed from physics and engineering and first used in the biological context in the 1930s, which has in more recent decades become commonly used in popular parlance...

 with behaviors like drinking coffee and watching television, when they become habitual they become problematic to one's health
Health
Health is the level of functional or metabolic efficiency of a living being. In humans, it is the general condition of a person's mind, body and spirit, usually meaning to be free from illness, injury or pain...

 and happiness
Happiness
Happiness is a mental state of well-being characterized by positive emotions ranging from contentment to intense joy. A variety of biological, psychological, religious, and philosophical approaches have striven to define happiness and identify its sources....

.

Cyber-psychologist Kimberly Young, director of the Center for Online Addiction, has addressed Internet addiction, one of the most common types of "soft addictions". Young has likened excessive Internet use to pathological gambling.

Research around addictions and social media
Social media
The term Social Media refers to the use of web-based and mobile technologies to turn communication into an interactive dialogue. Andreas Kaplan and Michael Haenlein define social media as "a group of Internet-based applications that build on the ideological and technological foundations of Web 2.0,...

sites has been growing. The Retrevo company recently came out with research suggesting that there is an obsessiveness to the way people are checking their pages.
The source of this article is wikipedia, the free encyclopedia.  The text of this article is licensed under the GFDL.
 
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